<HTML> 
<body > 
<FORM name=OnlineForm method=post Action ="VY_login_main.html" onSubmit="return verify('j60865')">

<table width="540" border="0" cellspacing="1" cellpadding="0" align="center" bgcolor="#FFFFFF"> 
   <tbody> <tr> 
      <td width="1%" height="0"></td> 
      <td><img src="image_gif/mf2.gif" width="535" height="48"></td>
      <td width="1%" height="3"></td> 
    </tr> 
	</tbody>
    <tr> 
      <td align="right" valign="middle" width="0%" height="125"></td> 
      <td width="98%" height="125" align="center" valign="top" bgcolor="#FFFFFF">
	   <table width="535" height="172" border="1" align="center" cellpadding="0" cellspacing="0" bordercolor="#FFFFFF" bgcolor="#FFFFFF" hspace="0" vspace="10"> 
           
          <TR > 
            <TD height="22" colspan="4"><table border="0" cellpadding="0" cellspacing="0">
      <td height="22"><img src="image_gif/del_ss.gif" alt="" name="off_add" width="535" height="22" border="0" ></td>
  </tr>
</table></TD></TR>
		      	
            			<tr bgcolor="#EBEBEB"> 
            <td width="44%" height="43" > <div align="right"><font size="2" face="Verdana, Arial, Helvetica, sans-serif"><font color="#000000"><strong>Sant Samaj ID</strong>&nbsp;</font></font></div></td> 
            <td width="299" >
              <input name="fname" type="text" class="textBoxDashed" id="fname" tabindex="10" onKeyUp="chkdata(11)" size="33" maxlength="50"> 
			 
		     <TR > 
            <TD colspan="4"><table border="0" cellpadding="0" cellspacing="0">
      <td height="22"><img src="image_gif/comt_s.gif" alt="" name="off_add" width="535" height="22" border="0" ></td>
  </tr>
</table></TD></TR>
<TR bgcolor="#EBEBEB" > 
            
            <TD colspan="4"><center><TEXTAREA name="textarea" cols="50" rows="3" tabindex="90"></TEXTAREA></center></TD>
	      </TR> 
		  <tr bgcolor="#EBEBEB"> 
            <td colspan="4" height="4">  <div align="center">
              <input type="submit" name="submit" value="  OK  " width="4" tabindex="70" class="LoginButton" onClick="alert('Password has been sent to your mail box!');" />&nbsp;&nbsp;
				<input type="reset" name="Clear" value="  CLEAR  " width="4" tabindex="70" class="LoginButton"  />&nbsp;&nbsp;
				<input type="submit" name="submit" value="CANCLE" width="4" tabindex="70" class="LoginButton" onClick="(VY_login_main.html)"/>
</div></td> 
          </tr> 
		  		  
        </table> 
           
        <div align="center"></div> 
      </td> 
      <td width="9%" height="125">&nbsp;</td> 
    </tr> 
    <tr> 
      <td width="9%" height="19">&nbsp;</td> 
    </tr> 
	</table>
	</form>
</body>
</html>